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Obesity & its impact on deaths from lifestyle diseases in PNG

DiabetesNELSON HAMISH KAIRI

THE Papua New Guinea government must get serious about decreasing the number of deaths caused by lifestyle diseases, according to a researcher.

Scientist Andrew Pus conducted research on obesity in Port Moresby and his findings have been made public on the Scientific Research Publishing website.

Mr Pus is from the Western Highlands and holds a master’s degree in health sciences from the Graduate School of Bio-Medical and Health Sciences at Hiroshima University in Japan. His research spanned more than three years and was conducted as part of his graduate requirement.

Obesity accounts for an estimated 2.8 million deaths worldwide and is the fifth leading risk for death according to recent data from the World Health Organisation.

Mr Pus’s survey, Identifying factors of Obesity in Papua New Guinea, was conducted to assess influencing factors and to identify the causes of obesity.

Obesity is a medical condition which contributes to an increase of lifestyle diseases such as diabetes and high blood pressure which affect a lot of Papua New Guineans and have claimed many lives.

The good news is that it is preventable.

His findings show that less physical movement, unhealthy diet, cultural values, poor education and social systems all contribute to the condition.

Of all the factors that contribute to obesity and lifestyle diseases, it is vital to point out that our cultural value system plays an important role.

Mr Pus argues that our cultural value system is somehow anchored in the belief that a person who is overweight  –  with huge protruding stomach and large arms and feet –  is wealthy and should be respected, obeyed and seen as a leader in our communities.

However, this belief contributes to the increase of obesity and effects the development of lifestyle diseases.

According to the survey, when realising that being overweight commands respect, more people want to be overweight so they attain that respect from their communities.

He says this is not the right way of thinking. Almost every leader identified as influential is overweight. This confused belief is deeply rooted in our society and that mindset needs to change.

The survey shows that the government needs to do more as its strategies and initiatives are not strong enough to educate and motivate people on the dangers of being overweight.

It suggests that effective coordination should be developed between stakeholders to provide quality education and awareness for the prevention of obesity.

The most common cause of obesity is the excessive intake of food coupled with a lack of physical exercise, although some people are obese as a result of genetic vulnerability, which means it is inherited.

Obesity is no longer considered as a medical condition confined to developed countries but it is now a serious problem in developing countries like PNG.

A report by the Overseas Development Institute in 2008 warned that governments in developing countries are not doing enough to combat the increase of this medical condition.

It stated that excessive consumption of fat and salt is linked to the increase of diseases like cancer, diabetes, heart disease and stroke.

Mr Pus’s survey also confirms that more people in PNG have a tendency to eat food that are high in fat and salt such as is found at countless fast food joints around the country.

His study recommends that further surveys be conducted in other parts of PNG, particularly in rural areas, and that health awareness be increased by engaging schools and churches.

The findings strongly suggest that special attention be given to the increasing occurrence of obesity in developing countries and the development of preventive measures to reduce its rate in PNG.

He said superstition or black magic is often blamed for deaths in PNG but this should not be the case. It is the lifestyle of the person – unhealthy eating habits and insufficient physical exercise – which contributes to the development of lifestyle diseases leading to death.

More awareness should be carried out throughout PNG so people are taught about nutrition and physical exercise beneficial to their health.

Mr Pus said he is willing to partner with other relevant authorities to carry out further research and compile data on obesity as it affects and results in the death of many Papua New Guineans.

Comments

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Judy Kiap

Our country Papua New Guinea is richly blessed with resources and we have to make right choices to live to the limit that our creator holds for us.

We should be proud of our nation that are enjoying the natural habitat,the fresh air we are breathing for keeping us alive,the fresh water we are drinking and enjoy washing in the fresh running rivers,the greenly vegetation with such a beautiful environment we are living.

To pertain a healthy life,prevention is better than cure.And as such,we have to take extra precaution on what we eat,as the saying, 'We are what we eat'.

Garry Roche

Yes, Phil, plump ladies were not at a disadvantage. There was a pidgin song to the air of the song Guantanamera, which went “Wanpela Meri, Mi laikim wanpela Meri, Wanpela Meri, Wanpela Patpela Meri, Sotpela Patpela Meri, “

Bernard Corden

If I was asked which word in the English language I despised, it would be lifestyle. It is meaningless sales and marketing drivel.
Advertising is like the rattling of a stick inside a swill bucket - George Orwell (Keep the Aspidistra Flying)

Philip Fitzpatrick

I think a plump wife(s) was a status symbol around Hagen too Garry. I think that also extended to potential brides. Big, healthy women who could work hard was the underlying message. Skinny wives couldn't carry much firewood or kaukau in their bilums.

Much like Australia, obese people were a rarity back then. Papua New Guinean people in the bush were superbly fit.

Garry Roche

According to the blog, Mr. Pus who is from Western Highlands, “argues that our cultural value system is somehow anchored in the belief that a person who is overweight – with huge protruding stomach and large arms and feet – is wealthy and should be respected, obeyed and seen as a leader in our communities.”
Having many years experience in WHP, from 1970 onwards, I would have to reluctantly admit that Mr. Pus is probably correct when one looks at many current leaders. Perhaps an early example of being overweight was the late Hon. Raphael Doa former Member of Parliament. The late Raphael who is well remembered for overseeing a very clean Hagen Town, had put on weight and diabetes my have contributed to his demise.
On the other hand, I would suggest that in even earlier times, most leaders in the Hagen area were lean and hardy. There are existing some old photographs of Jika Oprump Kuli, Mokei Wamp, Mokei Ninji, Jika Komapi Ragoba, Kentika Mak, Yamka Kauga, Akilika Yaga, and none of these leaders look overweight. The only early really fat leader that I remember from the seventies was Kopi Kangump Ambil who lived up near Kuta, and who died in his seventies. On further reflection Jika Oprump Rumints did have some weight but not excessive.
So while not disagreeing with Mr. Pus about the current cultural value system, I would suggest that in the Hagen area it is something that has come into vogue in the past 30 years.

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